Page 1 of 3

X Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   BB160  
    Pre-opening
X Original Inspection
    Reinspection
   Follow-Up
    Possible FBI
    Complaint
   Other
Name of Establishment  CULVER'S OF BOURBONNAIS Address  983 N CONVENT ST
Owner or Operator   MAIER, BOBBY City   BOURBONNAIS Zip Code   60914
 
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
ITEM
X
WT
DESCRIPTION
 
FOOD
18
 
1
 Pre-flushed, scraped, soaked
34
  
1
 Outside storage area, enclosures properly constructed, clean: controlled incineration
*1
  
5
 Source, Wholesome, No Spoilage
19
  
2
 Wash, rinse after: clean, proper temperature
2
  
1
 Original Container, Properly Labeled
*20
  
4
 Sanitization rinse: Clean, temperature, concentration   INSECT, RODENT ANIMAL CONTROL
 
FOOD PROTECTION
*35
  
4
 Presence of insects/rodents - outer openings protected; no birds, turtles, or other animals
*3
  
5
 Potentially hazardous food meets temperature requirements during storage, preparation, display, service and transportation
21
  
1
 Wiping cloths: clean, use restricted
22
  
2
 Food contact surfaces of equipment and utensils clean, free of abrasives and detergents  
FLOORS WALLS AND CEILINGS
36
  
1
 Floor: constructed, drained, clean, good repair, covering installation, dustless cleaning methods
*4
  
4
 Facilities to maintain product temperature
23
 
1
 Non-food contact surfaces of equipment and utensils clean
5
 
1
 Thermometers provided and conspicuous
37
  
1
 Walls, ceiling, attached equipment: constructed good repair, clean surfaces, dustless cleaning methods
6
 
2
 Potentially hazardous food properly thawed
24
  
1
 Storage, handling of clean equipment utensils
*7
  
4
 Unwrapped and potentially hazardous food not re-served, Cross Contamination
25
  
1
 Single-service articles, storage, dispensing  
LIGHTING
26
  
2
 No re-use of single-service articles
38
  
1
 Lighting provided as required - Fixtures shielded
8
  
2
 Food protection during storage, preparation, display, service and transportation  
WATER
  
VENTILATION
*27
 
5
 Water source, safe: Hot and cold under pressure
39
  
1
 Rooms and equipment - vented as required
9
  
2
 Handling of food(ice) minimized, methods  
SEWAGE
  
DRESSING ROOMS
10
X
1
 Food(ice) dispensing utensils properly stored
*28
  
4
 Sewage and waste water disposal
40
  
1
 Rooms clean, lockers provided, facilities clean
 
PERSONNEL
  
PLUMBING
  
OTHER OPERATIONS
*11
  
5
 Personnel with infections restricted
29
  
1
 Installed, maintained
*41
X
5
 Toxic items properly stored, labeled and used
*12
  
5
 Hands washed and clean, good hygienic practices
*30
 
5
 Cross-connection, back siphonage-backflow
42
  
1
 Premises: maintained, free of litter, unnecessary articles, cleaning/maintenance equipment properly stored, authorized personnel
13
  
1
Clean clothes, hair restraints
  
TOILET AND HAND-WASHING FACILITIES
 
FOOD EQUIPMENT AND UTENSILS
14
  
2
 Food (ice) contact surfaces: designed, constructed, maintained, installed, located
*31
  
4
 Number, convenient, accessible, designed, installed
43
  
1
 Complete separation from living/sleeping quarters, laundry
32
 
2
 Toilet rooms enclosed, self-closing doors, fixtures, good repair, clean: Hand cleanser, sanitary towels/hand drying devices provided. Proper waste receptacles, tissue
15
X
1
 Non-food (ice) contact surfaces: designed, constructed, maintained, installed, located.
44
  
1
 Clean, soiled linen properly stored
 
CERTIFIED PERSONNEL
16
  
2
 Dishwashing facilities: designed, constructed, maintained, installed, located, operated
*45
     Management personnel certified Yes X No     Registered for class    
 
GARBAGE AND REFUSE DIPSOSAL
17
  
1
 Accurate thermometers, chemical test kits provided, gauge cook
33
  
2
 Containers or receptacles covered: adequate number, insect/rodent proof, frequency, clean
 
      
Sanitizer Requirement:  Chemical   QUATERNARY AMMONIA: 200 ppm                   Dishwasher Temperature   CHLORINE: 50 °F or label
Food Temperatures:   (1) CLASSIC COOK & SERVE: ROASTED MUSHROOM 137 F & GRILLED ONIONS 137 F; (2) DELFIELD COOLER: DICED TOMATOES 37 F & SHREDDED CHEESE 38 F; (3) HOSHIZAKI AMERICA PROFESSIONAL SERIES: PRE-FRIED AND COOKED CHICKEN PIECES -3 F; (4) WARMER: POT ROAST 157 & CHICKEN GRAVY 139 F; (5) CLASSIC COOK & SERVE WARMER: POT ROAST 137 F & CHILI 147 F; (6) LEER WALK-IN FREEZER: PRE-COOKED CHICKEN TENDERS -7 F; (7) LEER WALK-IN COOLER: COLE SLAW 39 F & RAW FISH 37 F; (8) DELFIELD PREP-TABLE/COOLER: MILK 37 F; (9) TABLE-TOP WARMER (BEHIND THE COUNTER): CHICKEN DUMPLING: 145 F & CHICKEN NODDLE SOUP 145 F
 
General Comments
HACCP CONCEPT DISCUSSED: LABEL CHEMICAL CONTAINERS. 
Report and Instructions Received By   KATHERINE LEE SCHWEIZER /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  08/07/2017 Time In  3:05 PM Time Out  4:10 PM Sanitation Score  93 (100 Minus Demerits)
By  Alan Hatia (Sanitarian) Adjusted Score  99  
 
Page 2 of 3

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   BB160  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CULVER'S OF BOURBONNAIS Address  983 N CONVENT ST
Owner or Operator   MAIER, BOBBY City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
*41  Observed a chemical spray bottle to not have label--located near the waste sink. Provide for all chemical containers that no longer have the original label on them to be labeled with chemical content. 750.1300 NOTE: Corrected on-site--glass cleaner label added. points adjusted. Immediate/Onsite
10  Observed the scoop handle within a container flour located in the dry storage area to be touching the food item. Provide for all utensils to be stored within the food container to be stored with the handle up and out of the food product. 750.280 NOTE: Corrected on-site. points adjusted. Next Inspection
15  Observed the dumpster lid to have a hole, presenting an entry way for pests. Repair lid. 750.1130 Next Inspection
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Report and Instructions Received By   KATHERINE LEE SCHWEIZER /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  08/07/2017 Time In  3:05 PM Time Out  4:10 PM Sanitation Score  93 (100 Minus Demerits)
By  Alan Hatia (Sanitarian) Adjusted Score  99  
 
Page 3 of 3

    Food Service Establishment
    Retail Food Store
    Temporary
    Mobile
KANKAKEE COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH
2390 W. STATION STREET
KANKAKEE, IL 60901
(815) 802-9410, (815) 802-9411 (FAX)

FOOD SERVICE SANITARY INSPECTION REPORT
 Establishment #   BB160  
    Pre-opening
X Original Inspection
    Reinspection
    Follow-Up__________
    Possible FBI
    Complaint
    Other______________
Name of Establishment  CULVER'S OF BOURBONNAIS Address  983 N CONVENT ST
Owner or Operator   MAIER, BOBBY City   BOURBONNAIS Zip Code   60914
 

ITEM
Remarks and Recommendations for Corrections
Corrected By
Report and Instructions Received By   KATHERINE LEE SCHWEIZER /  
 
(Please Print)
  
(Signature of Owner or Representative)
Date  08/07/2017 Time In  3:05 PM Time Out  4:10 PM Sanitation Score  93 (100 Minus Demerits)
By  Alan Hatia (Sanitarian) Adjusted Score  99